| |
2659 W Oakland Park Blvd Oakland Park FL 33311-1355 | |
(954) 733-9000 | |
(954) 733-4366 |
Full Name | |
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Speciality | Clinic/center |
Location | 2659 W Oakland Park Blvd, Oakland Park, Florida |
Authorized Official Name and Position | Neil Bonnardel (DIRECTOR OF MEDICAL SERVICES) |
Authorized Official Contact | 7542182164 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2304 W Oakland Park Blvd Oakland Park FL 33311-1422 Ph: (754) 218-2164 | 2659 W Oakland Park Blvd Oakland Park FL 33311-1355 Ph: (954) 733-9000 |
NPI Number | 1215397724 |
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Provider Enumeration Date | 02/25/2016 |
Last Update Date | 09/09/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215397724 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Irving M Bratt Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1555 E Oakland Park Blvd, Oakland Park, FL 33334 Phone: 954-565-9966 Fax: 954-565-0535 | |
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